BHR - Fob Request Form
(NO FOBS WILL BE ISSUED WITHOUT THE ACKNOWLEDGEMENT AND POOL WAIVER SIGNED.)
Name of Resident:
First Name
Last Name
Address of Resident:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Resident Phone Number:
Please enter a valid phone number.
Resident Email:
example@example.com
Authorized Fob User 1 Name:
First Name
Last Name
Authorized Fob User 1 Cell Phone Number:
Please enter a valid phone number.
Authorized Fob User 2 Name:
First Name
Last Name
Authorized Fob User 2 Cell Phone Number:
Please enter a valid phone number.
Is this a rental Unit:
Yes
No
If yes, Owner's name and phone number:
Have you returned the “acknowledgement and pool waiver”:
Yes
No
Please indicate how many fobs, if any, you would like to be issued:
Each owner is elegible for up to two (2) fobs per unit.
By requesting pool and pool area access, you are agreeing to abide by all of the posted and written rules for their use. Furthermore, you verify that you have signed and returned the Beacon Hill Rec. Associationacknowledgement and pool waiver.
Signature:
Printed Name:
Date:
-
Month
-
Day
Year
Date
Print
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